Provider Demographics
NPI:1619425873
Name:MASCO, INC
Entity Type:Organization
Organization Name:MASCO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-296-3996
Mailing Address - Street 1:160 MARWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6215
Mailing Address - Country:US
Mailing Address - Phone:330-797-2902
Mailing Address - Fax:330-726-1522
Practice Address - Street 1:160 MARWOOD CIR
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6215
Practice Address - Country:US
Practice Address - Phone:330-797-2902
Practice Address - Fax:330-726-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services